SearchCalifornia171100000X

Peng Song

NPI 1932663135 · on the registry since 2019 · sole proprietor

Practice

Address
39039 Paseo Padre Pkwy
Fremont, CA 94538
Phone
(510) 648-2876
Organisation at this address
Med Staffing Llc
Lifescript Pharmacy
Jjw Pacific Health Group Llc
Tri Valley Neurosurgical Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-06-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California